| Blissful Mind Counseling Services Llc | |
|
106 Shook Rd Ste 204 Hawley PA 18428-7059 | |
| (570) 977-1294 | |
| Not Available |
| Full Name | Blissful Mind Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 106 Shook Rd Ste 204, Hawley, Pennsylvania |
| Authorized Official Name and Position | Yekaterina Tarkovsky (OWNER) |
| Authorized Official Contact | 5709771294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blissful Mind Counseling Services Llc 106 Shook Rd Ste 204 Hawley PA 18428-7059 Ph: (570) 977-1294 | Blissful Mind Counseling Services Llc 106 Shook Rd Ste 204 Hawley PA 18428-7059 Ph: (570) 977-1294 |
| NPI Number | 1376223966 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 8123476298 |
|---|---|
| Medicare Enrollment ID | O20231130000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376223966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Yekaterina Tarkovsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023661204 PECOS PAC ID: 9032567102 Enrollment ID: I20231130000025 |
Elizabeth Ciaravino, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Silk Mill Dr Ste 223, Hawley, PA 18428 Phone: 570-226-1963 Fax: 570-226-1967 | |
Kelly S. Magee, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Silk Mill Dr, Suite 2011, Hawley, PA 18428 Phone: 570-647-9277 Fax: 570-227-0084 | |
Hgmd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3216 Hemlock Farms, Hawley, PA 18428 Phone: 202-212-9449 |